Individual
ORAWAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA60035121
Contact information
Practice address
4444 LACEY BLVD SE STE E, LACEY, WA 98503-5730
(360) 438-1998
(360) 438-3524
Mailing address
4444 LACEY BLVD SE STE E, LACEY, WA 98503-5730
(360) 438-1998
(360) 438-3524
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60035121
WA
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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